Individual provider Active NPI

Ashley Nichole Kochan

  • Pharmacy Technician
  • Fenton, MI
National Provider Identifier
1225564735
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303012917 Issued in MI
Practice address
1001 N Leroy St
Fenton, MI 48430-5308
Phone
(810) 750-1923
Fax
(810) 714-4128
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303012917 MI Primary

Addresses

Primary practice location

1001 N Leroy St
Fenton, MI 48430-5308

Mailing address

1001 N Leroy St
Fenton, MI 48430-5308
Phone (810) 750-1923

Other identifiers 1

IdentifierTypeStateIssuer
5303012917OtherMIPHARMACY TECHNICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5303012917MIMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Drug Stores Inc Past Accepting new patients
Apex Drug Stores Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1225564735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484305308",
            "telephone_number": "810-750-1923",
            "fax_number": "810-714-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484305308",
            "telephone_number": "810-750-1923",
            "fax_number": "810-714-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAN",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303012917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN LICENSE",
            "identifier": "5303012917",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.